Nsg 356-Psych
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D ef i ne devel opmental di sorders i nvol ve a l ack of expected devel opment or a regressi on af ter normal devel opment
-si gni f i cantl y sub average i ntel l ectual f xni ng. -I Q <70 -most show
Mental Retardati on (MR)
def i ci ts/i mpai rments i n at l east 2 areas -more common i n boys
What i s mi l d MR? I Q 50/55-70
What i s moderate MR? I Q 35/40-50/55
What i s severe MR? I Q 20/25-35/45
What i s prof ound MR? I Q bel ow 20-25
,Nsg 376- Pharm {100%Success}
Nsg 376- Pharm
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Benzodi azepi nes! -Ati van (drug of choi ce f or staus epi l epti cus) -D i l anti n -
What are some Anti convul sants?
Cerebyx -Barbi turates -D epakote -T egretol -Lami ctal
Why i s D i l anti n so dangerous? -i t can cause maj or si de ef f ects l i ke arrhythmi sa, hypotensi on, ti ssue damage.
What i s the normal rate f or D i l anti n? no f aster than 50mg/mi n and can onl y be mi xed wi th NS
What shoul d you moni tor f or when gi vi ng D i l anti n? -drowsi ness -E KG -BP -n/v -sl urred speech
Why i s the anti convul sant Barbi turate not used much anymore/ because i t can cause severe dec LOC, resp. depressi on, and hypotensi on
F amous si de ef f ect of T egretol bone marrow suppressi on (bl ood dyscrasi as)-- dec i n RBC, WBC, Pl atl ets
F amous si de ef f ect of D epakote l i ver dysf uncti on
f amous si de ef f ect of Lami ctal severe rash
, Nsg 376- Pharm {100%Success}
Nsg 376- Pharm
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-pupi l s-- i nc -heart-- i nc/ strong (tachacardi a) -l ungs-- i nc O2 (bronchodi al ate) -
Sympatheti c NS (Adrenergi c)
GI /GU-- dec
Parasympatheti c NS (Chol i nergi c) *rest and di gest! -pupi l s- dec -heart- dec -l ungs- dec -GI /GU- i nc
Parki nson's i s caused by a def i ci ency i n ___ D opami ne
An excess of ACh i n the CNS i s a si gn of ___ Parki nson's
Amantadi ne (Symmetrel ) Carbi dopa-Levodopa (Si nemet) *puts dopami ne i n the
D opami nergi c meds used f or Parki nson's
brai n
Anti chol i nergi c meds used f or Parki nson's Benztropi ne (Congenti n)
What i s the most f amous si de ef f ect of Si nemet? orthostati c hypotensi on
A decrease i n ACh avai l abl e at the NMJ i s ___ Myastheni s Gravi s l eadi ng to muscl e weakness